Idiopathic membranous nephropathy (IMN) is one of the common causes for adult nephrotic syndrome, whose natural courses varies a lot in different individuals. Some patients can undergo a spontaneous remission. As the pathogenesis is unclear yet, the treatment of IMN has been controversial, and there have not been any generally accepted best treatment methods. Therefore, the symptomatic treatment of non-immunosuppressive therapy is quite important. Many studies were made with the traditional Chinese medicine for treatment of IMN, and achieved certain efficacy, which was worth considering. This review discussed the current treatment of IMN with non-immunosuppressive therapy and traditional Chinese medicine.